Provider Demographics
NPI:1699834044
Name:PLANT, JENNIFER (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PLANT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6249
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-6249
Mailing Address - Country:US
Mailing Address - Phone:603-880-0448
Mailing Address - Fax:603-881-5280
Practice Address - Street 1:522 AMHERST ST
Practice Address - Street 2:SUITE 22
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1019
Practice Address - Country:US
Practice Address - Phone:603-880-0448
Practice Address - Fax:603-881-5280
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30394068Medicaid